- Molina Healthcare (OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Business Analyst is responsible for supporting the claims processing teams by supplying regular, timely, ... and accurate reports. As the senior level team member, this role leads efforts to ensure the claims teams and other departments have access to quality claims … more
- Prime Therapeutics (Columbus, OH)
- …Posting Title** IT Business Systems Analyst Sr **Job Description** The Business Systems Analyst (BSA) Senior IT is responsible for serving as a ... stakeholders, development team and broader project team. The BSA Sr IT is also responsible for partnering with the...to educate and advance the business systems analyst practice within the Claims IT team… more
- Elevance Health (Mason, OH)
- ** Business Information Analyst Sr .** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Candidates must live ... miles of one of Elevance's Pulse Point locations. The ** Business Information Analyst Sr .** is...performance using summary statistical procedures. * Develops and analyzes business performance reports (eg for claims data,… more
- Prime Therapeutics (Columbus, OH)
- …we make. **Job Posting Title** Sr . Applied Stars and Quality Analytics Analyst **Job Description** The Senior Health Data Analyst provides information, ... as a champion of the consulting and analytic methodology for designated line of business ; may provide work direction, serve as a mentor or train junior level… more
- Evolent (Columbus, OH)
- …to positively contribute to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst , Performance Suite Analytics utilizes and develops ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...our value.** **Perform research and analysis of complex healthcare claims , eligibility, and pharmacy data to make recommendations based… more
- Molina Healthcare (OH)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing ... key business issues related to cost, utilization and revenue for...tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex… more
- Molina Healthcare (OH)
- **JOB DESCRIPTION** **Job Summary** Analyzes complex business problems and issues using data from internal and external sources to provide insight to ... influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and… more
- Molina Healthcare (OH)
- **Knowledge/Skills/Abilities** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Molina Healthcare (OH)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... skill and analytical methods to look behind the numbers, assess business impacts, and make recommendations through use of healthcare analytics, predictive… more
- Molina Healthcare (Columbus, OH)
- …Maintains critical information on claims databases. Synchronizes data among operational and claims systems and application of business rules as they apply to ... to be housed on databases and ensure adherence to business and system requirements of customers as it pertains...and existing health plans. + Must have experience on claims processing system, benefit configuration. + SQL knowledge is… more
- Molina Healthcare (Columbus, OH)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Assist Quality...overall markets and LOB. + Work in an agile business environment to derive meaningful information out of complex… more
- The Hartford (Columbus, OH)
- …Benefits organization is looking to transform its data exchange capabilities and processes. The Sr Business Analyst will partner with product owners to ... Sr Anlst IT Bus Analysis - BS07EE We're determined...degree preferred, and at least five experience in a Business Analyst role + Experience working in an… more
- Intermountain Health (Columbus, OH)
- …understanding and knowledge of the concepts and principals outlined within the Business Analyst Body of Knowledge (BABOK) guide. **Physical Requirements:** ... **Job Description:** As a Business Systems Analyst , you will work...projects. Requirements may be specific to healthcare insurance products, claims , sales activities or other service-related processes; all in… more
- Medical Mutual of Ohio (Brooklyn, OH)
- …project to support analytic deliverables and capabilities. The Sr . BI Programmer Analyst will have heavy interaction with our Business Analysts to ensure all ... knowledge of data sources, programming techniques, test strategies, and action/test plans. Sr . Business Intelligence Programming Analyst Exclusively converts… more
- Elevance Health (Independence, OH)
- **Power BI Business Information Analyst Senior ** **Location:** This position will work a hybrid model (remote and in office 1 - 2 days per week). Ideal ... Atlanta, GA, or Indianapolis, IN. The **Power BI** **Bu** **siness Information Analyst Senior ** is responsible for analyzing, reporting, and developing… more
- Prime Therapeutics (Columbus, OH)
- …that. It fuels our passion and drives every decision we make. **Job Posting Title** Senior Pricing Analyst **Job Description** The Senior Pricing Analyst ... Recommend new and revised financial pricing programs based on analysis of pharmacy claims data, average wholesale drug prices (AWP), and other relevant data of… more
- Elevance Health (Mason, OH)
- **Provider Contract Analyst Senior ** **Location:** This position will work a hybrid model (remote and in office one to two days per week). Ideal candidates will ... OH, St. Louis, MO, Grand Prairie, TX or Iselin, NJ. The **Provider Contract Analyst Senior ** is responsible for providing analytical support to the Cost of… more
- Evolent (Columbus, OH)
- …mindset as we solve complex business problems. **Collaboration Opportunities:** The Senior Analyst , Client Analytics role will be serving key internal ... structures associated with Commercial, Medicare, and Medicaid lines of business . Healthcare claims : specifically, differences between institutional vs… more
- HealthEdge Software Inc (Columbus, OH)
- …in claims processing. The successful candidate will be responsible for taking a senior level role in analyzing claims data, as well as translating contract ... **Overview** **Position Overview:** We are seeking a Senior Payment Integrity Specialist to play a key...are identified and addressed upstream, and all aspects of claims operations are centralized for comprehensive business … more
- Medical Mutual of Ohio (OH)
- …. Experience working with relational databases. ** Senior Provider Reimbursement Analyst ** . Bachelor's degree in business or healthcare administration, ... ad hoc analysis as assigned. . Performs other duties as assigned. ** Senior Provider Reimbursement Analyst ** Under limited supervision, supports assigned provider… more